Ingabe udokotela wake wakubhalela wena noma othile emndenini wakho umuthi we-penicillin? Cishe uyakhumbula ukuwuthola ngesikhathi unomkhuhlane noma ubuhlungu lapho useyingane. Ngakho-ke, namuhla sizoxoxa ngalo muthi we-penicillin, ikakhulukazi inhlanganisela yezinhlobo ezimbili ezibizwa ngokuthi `(Penicillin G Benzathine)` kanye `(Penicillin G Procaine)`. Nakuba lesi kuyisidakamizwa abantu abaningi abasijwayele, kubalulekile ukuqaphela ngokugcwele.
Uyini lo muthi obizwa ngokuthi i-penicillin?
Kalula nje, lokhu kuyi-antibiotic . Lokhu kusho ukuthi lo muthi usetshenziselwa ukubulala izinhlobo ezithile zamagciwane angena emizimbeni yethu. Cabanga ngemizimba yethu njengezwe. Amabhaktheriya ayibutho lesitha elihlasela leli zwe. Ngakho-ke, i-penicillin ifana nebutho lethu elilwa nalelo butho lesitha.
Kodwa nansi into ebaluleke kakhulu. Lo muthi usebenza kuphela ezifweni ezibangelwa amagciwane. Ngeke welaphe izifo ezibangelwa amagciwane njengomkhuhlane ovamile noma umkhuhlane . Ngakho-ke, ukusebenzisa lo muthi ngaphandle kweseluleko sikadokotela akugcini nje ngokuba yize, kodwa futhi kungaba nemiphumela emibi emzimbeni.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Lokhu kubaluleke kakhulu. Ngaphambi kokuthi uthole lo muthi wokugomela, udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezibalwe ngezansi.
| Isimo sakho sempilo noma ithuba | Kungani isaziso sibalulekile? |
|---|---|
| Ukuba nokungezwani komzimba ne-penicillin noma omunye umuthi noma ukudla. | Leli yiphuzu elibaluleke kakhulu. Ukungezwani ne-penicillin kungaba kubi kakhulu, ngakho-ke kubalulekile ukubika noma yimuphi umlando wangaphambilini. |
| Isifo sezinso | Lo muthi ukhishwa emzimbeni yizinso. Uma izinso zakho zingasebenzi kahle, umthamo wakho ungadinga ukulungiswa. |
| I-asthma noma ezinye izifo zokuphefumula | Ezinye iziguli zokuphefumula zingase zibe sengozini enkulu yokuba nokungezwani komzimba. |
| Isifo senhliziyo | Kufanele kuqashelwe lapho kunikezwa lo muthi ezimweni ezithile zenhliziyo. |
| Ukuntuleka kwe-G6PD | Lesi yisimo sofuzo abanye abantu abanaso. Lo muthi ungalimaza amangqamuzana abomvu egazi. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa. | Kubaluleke kakhulu ukukhuluma nodokotela wakho ngalokhu ukuqinisekisa ukuphepha kwakho nokwengane yakho. |
Uyisebenzisa kanjani le mithi?
Lona akuwona umuthi ongawuthatha ekhaya uwusebenzise. Lo mjovo ufakwa emsipheni , ngokuvamile esinqeni noma engalweni engenhla. Unikezwa esibhedlela noma emtholampilo ngudokotela oqeqeshiwe noma abasebenzi abahlengikazi. Ngakho akudingeki ukhathazeke ngokuthola umthamo ongalungile noma into efana naleyo.
Kodwa-ke, udokotela cishe uzokutshela ukuthi ulinde imizuzu engama-20-30 ngemuva kokukunika lo mjovo. Lokhu kungenxa yokuthi ngezinye izikhathi ukusabela okukhulu kokungezwani komzimba (i-anaphylaxis) kungenzeka phakathi nemizuzu embalwa yokuqala yomjovo. Uma lokhu kwenzeka, kulula ukwelapha ngokushesha esibhedlela.
Uma ucabanga ukuthi ngephutha uthathe lo muthi omningi kakhulu, noma uma uthathe umuthi womunye umuntu, iya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. Ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko uma kudingeka.
Ingabe lo muthi unganikezwa izingane?
Yebo. Lo muthi unikezwa nezingane nakwezinye izifo ezithile ezibangelwa amagciwane. Kodwa unqunywa udokotela wezingane. Uma uwunika izingane, umthamo kanye nezinye izinto okufanele uzicabangele kunabantu abadala.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Qaphela izimpawu: Uma izimpawu zakho zingathuthuki, noma uma zibonakala ziba zimbi kakhulu, tshela udokotela wakho.
- Uhudo: Abanye abantu bangase babe nesifo sohudo uma bethatha la ma-antibiotic. Uma unesifo sohudo isikhathi esingaphezu kwezinsuku ezimbili, uma siba namanzi, noma uma sihambisana nobuhlungu obukhulu besisu, ungaphuzi imithi yohudo ethengwa ngaphandle kwemithi kadokotela, kodwa shayela udokotela wakho ngokushesha . Ngezinye izikhathi kungaba uphawu lwesimo esibucayi.
- Ukusabela okukhulu kwesikhumba: Lokhu kuyinto engavamile, kodwa kubalulekile ukukuqaphela. Uma uhlaselwa ukuqubuka kwesikhumba okubomvu noma okunsomi okuphuma amabala futhi kuqhekeke, ngisho namasonto ambalwa ngemuva kokuqala umuthi, kanye nomkhuhlane kanye nobuhlungu bomzimba, funa usizo lwezokwelapha ngokushesha. Futhi, qaphela ukuqubuka kwesikhumba okubonakala entanyeni noma emakhwapheni, kanye nokuvuvukala.
- Amaphilisi okuvimbela inzalo: Uma uthatha amaphilisi okuvimbela inzalo, angase angasebenzi kahle uma usebenzisa i-penicillin. Ngakho-ke, khuluma nodokotela wakho mayelana nokusebenzisa olunye uhlobo lokuvimbela inzalo (isib. amakhondomu) phakathi nalesi sikhathi.
- Isifo Sikashukela: Uma unesifo sikashukela, ungathola imiphumela engalungile uma uhlola umchamo wakho ushukela ngenkathi uthatha lo muthi. Ngakho-ke, khuluma nodokotela wakho ngalokhu futhi.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, i-penicillin ingabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Ithebula elingezansi linikeza isithombe esicacile salokhu.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe, ulimi noma ubuso, ubunzima bokuphefumula. |
| Uhudo olubi kakhulu | Uhudo olunegazi noma indle enamanzi, ubuhlungu obukhulu esiswini. |
| I-Methemoglobinemia (engavamile) | Ubunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo, ukuquleka, izindebe eziluhlaza okwesibhakabhaka/ezimpunga, izinzipho, noma isikhumba, ukukhathala okukhulu. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu, ukuqubuka, ukuxebuka kwesikhumba (ngisho nangaphakathi emlonyeni). |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Isiyezi, ukozela | Ikhanda elibuhlungu, isicanucanu, ukuhlanza. |
| Ubuhlungu endaweni yokujova | Ubomvu, ukuvuvukala okuncane, noma ubuhlungu endaweni yokujova. |
Ingabe lokhu kungasebenzisana neminye imithi?
Yebo, impela. Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi eminye imithi elwa namagciwane, imithi yobuhlungu, amaphilisi okuvimbela inzalo, amavithamini, imithi ye-Ayurvedic noma yendabuko). Eminye imithi, uma ithathwa kanye ne-penicillin, ingathinta indlela esebenza ngayo. Isibonelo, umuthi `(probenecid)` wandisa isikhathi i-penicillin ehlala ngaso emzimbeni. Amanye ama-antibiotic, njenge-`(Tetracycline)`, ngezinye izikhathi anganciphisa ukusebenza kwe-penicillin. Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwakho konke okuthathayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Penicillin iyi-antibiotic esetshenziselwa ukwelapha izifo ezibangelwa amagciwane. Ayisebenzi emkhuhlaneni, okubangelwa amagciwane.
- Ngaphambi kokuthatha lo muthi, qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izifo onazo, ikakhulukazi ukungezwani komzimba ne-penicillin.
- Lo mjovo unikezwa esibhedlela noma emtholampilo, ngakho ungakhathazeki ngomthamo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezifana nohudo olunzima, ubunzima bokuphefumula, ukuvuvukala kwezindebe/ubuso, noma ukuqubuka okukhulu kwesikhumba.
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi ye-Ayurvedic).
- Lolu lwazi lungolwazi olujwayelekile kuphela. Kubalulekile ukufuna iseluleko kudokotela wakho nganoma yiziphi izinkinga zempilo.
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